Sullivan, Lois Walters

Sullivan, Lois Walters is an individual health care provider with primary practice located at 2503 N Queen St , Kinston NC 28501-1632. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Sullivan, Lois Walters can be contacted via phone (252) 523-6000.

Contact Information

Primary practice address
2503 N Queen St Kinston NC 28501-1632
Phone: (252) 523-6000
Fax: (252) 527-8500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 300327 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 300327 North Carolina

Profile Details

NPI number 1659354777
LBN Legal business name Sullivan, Lois Walters
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659354777 NPPES
North Carolina MEDICAID 7000990

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